Kua rongo koe i tētahi puku iti, i tētahi pona rānei i mua o tō kaki? I a koe e tirotiro ana i te tinana, i kī mai tō tākuta, "He puku iti tōu." He tino whakamataku te rongonga i tēnei, engari kaua e mataku! I te nuinga o te wā, kāore he kino o ngā puku tairoiti. Heoi, he mea nui te noho mōhio mō tō hauora. I tēnei rā, me tūhura tātou he aha ngā puku tairoiti, he mea whakamāmā noa iho māu.
He aha tonu te Pūngāwerewere Tairoiro?
He whakarapopototanga noa iho, he tipu rerekē te pona tairoi o ngā pūtau i roto i tō repe tairoi, ka hanga he puku iti.
Hei whakaaro i tōna āhua, whakaarohia he repe iti, āhua pūrerehua kei mua o tō kaki, i raro noa i tō āporo Ātama. Koinei tō repe tairoiti , he repe endocrine nui. Koia te kawenga mō te whakaputa i ngā homoni nui e rua: te thyroxine (T4) me te triiodothyronine (T3) . Ko ēnei homoni te kaiwhakahaere matua o tō tinana, e whakahaere ana i ngā mahi matua pēnei i:
- Tō pākia o te tinana , kia pai ai te rere.
- Te pāmahana o tō tinana.
- Tō wairua me tō taumata pūngao whānui.
- Te tere o tō ngakau me te pā o tō manawa .
- Tō nakunaku , kia noho auau tonu.
Nā te kaha o te repe tairoiti, ka puta pea ngā pona i roto i tōna kiko i ētahi wā. He maha ngā āhua o ēnei pona:
- He pūnga takitahi (he puku kotahi).
- He maha ngā pona (he maha ngā puku).
- He puku kī tonu i te wai, e mōhiotia ana ko ngā pona cystic .
- He puku mārō, tino totoka, e mōhiotia ana ko ngā pona totoka .
Anei te kōrero tino whakamarie: neke atu i te 90% o ngā pona tairoi i kitea i roto i ngā pakeke he kore matepukupuku (pai) . Ko te tikanga he kore kino te nuinga. Heoi, tata ki te 4.0% ki te 6.5% o ēnei pona he matepukupuku (matepukupuku tairoi) . Koia te mea nui kia arotakehia tētahi pona e te tohunga hei whakakore i te matepukupuku. I ētahi wā, ka taea hoki e ēnei pona te tohu i ētahi atu mate tairoi kei raro.
Ko wai te mea tino mōrearea ki te whakawhanake i ngā pona tairoi?
Ahakoa ka taea e te tangata te whakawhanake i ngā pona tairoi – tae atu ki ngā tamariki me ngā kaumātua – he tino noa ēnei i roto i ngā wāhine. Inaa, e whā ngā wā ka nui ake te tūponotanga o ngā wāhine ki te whakawhanake i ngā pona tairoi i ngā tāne .
Hei tāpiritanga, he nui ake te kitea o ēnei āhuatanga i ngā rohe o te ao e kitea whānuitia ana te korenga o te iodine i roto i ngā kai, nā te mea me whai iodine te repe tairoi hei hanga i ana homoni.
Ko ētahi atu āhuatanga mōrearea matua ka whakapiki ake i te tūponotanga o te whakawhanake i ngā pona tairoi:
- He hītori o te rongoā irahiko ( irahiko tairoi ) ki tō kaki, ki te rohe tairoi rānei.
- He hītori whānau mō ngā pona tairoi, te mate pukupuku tairoi rānei.
- Te koroheketanga (ka piki ake te mōrearea i a koe e pakeke haere ana).
- He mate toto ngoikore-rino tō te tinana .
- He whanonga momi hikareti .
- Te noho me te momonatanga .
- Kei te pāngia koe e te mate pāwera .
- Te inu waipiro auau.
- Te nui haere o te insulin-like growth factor-1 (he homoni matua) i roto i te toto.
- Ngā wāhine he fibroids uterine.
He Pēhea te Noa o ngā Pona Tairoiro?
He tino noa ēnei pona. I roto i te whakamātautau tinana o ia rā, ka taea e ngā tākuta te rongo i tētahi pona tairoi i roto i te 5% ki te 7% o ngā pakeke. Heoi, ki te whakamahi tātou i te whakaahua ultrasound tino tairongo, ka kitea ngā pona i roto i te 20% ki te 76% o te taupori pakeke! Ko te tikanga o tēnei, tera pea ka pāngia koe e tētahi pona, ā, kāore rawa koe e mōhio.
He rerekē, he iti ake te kitea o ēnei i roto i ngā tamariki.
Me āwangawanga koe mō tētahi pona tairoi?
I te nuinga o ngā wā, kāore he take e mataku ai. E ai ki te kōrero i mua ake nei, ko te nuinga o ngā pona tairoi he tino pai (kāore he matepukupuku). Heoi, nā te mea he iti noa te ōrau he matepukupuku tairoi , he mea nui kia toro atu ki tō tākuta mō te aromatawai tika mēnā ka kitea e koe he pona. Mēnā ka puta he matepukupuku, mā te kitenga wawe me te maimoatanga tere ka hua ake ngā hua pai rawa atu .
Kia maumahara: kaua e whakaaro wawe tonu ki te mea kino rawa atu, kaua hoki e whakatau tere ina kite koe i tētahi puku. Heoi anō, ko te whakarite i tētahi aromatawai ngaio he taahiraa e kore rawa e tika kia mahue.
He aha ngā tohu o ngā pona tairoi?
Ko te nuinga o ngā pona tairoi kāore e kitea he tohu, arā, ka pai tō āhua, ā, kāore he huringa ā-tinana. Heoi, ki te maha ō pona, ki te nui haere rānei tētahi pona, ka kitea pea he puku i roto i tō kaki i te mutunga.
I ētahi wā onge, ka pēhi pea tētahi pona nui ki ngā hanganga tata, ka hua ake ēnei āhuatanga:
- He uaua ki te horomi , ki te manawa rānei. Hei tauira, tera pea ka rongo koe i te ahua "puku" tonu i te wa e horomi ana te kai, ka uaua rānei ki te inu wai.
- He panonitanga o tō reo, pērā i te pāorooro kāore e taea te whakamārama.
- Te mamae tonu i mua o tō kaki.
- He repe tairoiti kua nui haere, e mōhiotia whānuitia ana ko te goiter .
Ko ētahi pona, inā koa ko ngā pona tairoi e mahi nui ana , ka mahi motuhake, ka whakaputa i te nui rawa o ngā homoni tairoi. Ka taea e tēnei te arahi ki tētahi āhuatanga e kiia nei ko te hyperthyroidism (he tairoi e mahi nui ana). Ki te tupu tēnei, ka pāngia pea koe e:
Ngā Tohu o te Hyperthyroidism (Te Nui rawa o ngā Homoni Tairoiro)
- He tere, he tere rānei te pā o te ngakau (he tere te pā o te ngakau, he tere rānei te tukituki) .
- Te manukanuka kāore i te mārama , te wiri me/ranei te manukanuka .
- Te whakahekenga taumaha kāore i te āta whakaarohia, ahakoa kua piki ake tō hiahia kai.
- He hiahia nui ake .
- Te auau o te nekenekehanga o te puku, te mate korere rānei, me te auau ake o te nekenekehanga o te puku .
- Te uaua ki te moe (te kore moe).
- He repe tairoiti kua nui haere (goiter) .
- Te koretake o te paheketanga, te tino māmā, te ngaro rānei o te paheketanga i roto i ngā wāhine.
I tetahi atu taha, ko ētahi tāngata he pona tairoi kāore pea i te mahi pai te mahi tairoi, ka iti ai te taumata o ngā homoni tairoi. E mōhiotia ana tēnei mate hauora ko te hypothyroidism , ā, ko ōna tohu ko:
Ngā Tohu o te Hypothyroidism (Te ngoikore o ngā homoni tairoi)
- Te ngenge, te ngenge tonu rānei, kāore i te mārama.
- Te ngenge me te mākūkū i roto i ō ringaringa me ō maihao.
- Te pikinga taumaha kāore i te mārama.
- He kiri me te makawe maroke, mātotoru e kitea ana.
- Te kōroke pinepine.
- Te pouri, te pāngia rānei e te pouri .
- Ngā paheketanga auau ake, taumaha ake i roto i ngā wāhine.
He aha ngā take o ngā pona tairoi?
I ngā wā maha, he mea ngaro tonu te take tuturu o te hanganga o te pona tairoi. Heoi, he maha ngā āhuatanga rerekē ka taea te whakaoho i tō rātou whanaketanga, ka hua ake he momo pona rerekē:
- Ngā pona colloid: Koinei te momo tino noa. He tipu nui rawa atu ēnei o te kiko tairoi noa engari he tino pai (ehara i te matepukupuku). Ahakoa ka taea e rātou te tipu nui, kāore e horapa ki tua atu i tō repe tairoi.
- Ngā pūwero tairoi: He pūwero wai ēnei, he pūwero wai rānei. He tino iti te mōrearea o te mate pukupuku i roto i ngā pūwero. Heoi, ki te nui ake i te 2 henimita, ka tirotirohia pea e tō tākuta, ka tūtohu rānei kia tangohia he koiora .
- Ngā pona mumura: Ka puta ēnei hei hua o te mumura roa, mau tonu rānei o te repe tairoiti (thyroiditis). Tērā pea ka puta he mamae ā-rohe, kāore rānei.
- Te mate puku maha: I ētahi wā, he maha ngā pona kei roto i te repe tairoiti kua nui haere (te mate puku). He pai hoki te nuinga o ēnei pona.
- Ngā pona tairoi e mahi nui ana: Ka whakaputa motuhake ēnei pona i ngā homoni tairoi, ka taea te pehi i te toenga o te repe me te whakaoho i te hyperthyroidism . Me whai maimoatanga hauora tika tonu.
- Matepukupuku tairoi: Koinei te āwangawanga nui rawa atu ina kitea he pona. He waimarie, he mea onge te matepukupuku tairoi, he iti iho i te 6.5% o ngā pona tairoi katoa i arotakengia .
Me pēhea te tātaritanga o ngā pona tairoi?
Tērā pea ka kitea e koe he pona mā te pā atu ki tētahi pona, mā te kite rānei i roto i te whakaata. Tērā pea, ka pā atu tō tākuta i te wā e tirotirohia ana te kaki, ka kitea rānei i te wā e whakamātautau whakaahua ana (pēnei i te ultrasound, i te CT scan rānei) mō tētahi take hauora rerekē.
Ahakoa he pai te nuinga o ngā pona tairoi, me tirotirohia e te rata te nuinga o ngā pona kia kore ai e kitea he mate pukupuku.
He aha ngā whakamātautau e hiahiatia ana e koe?
Hei arotake i tō pūmua tairoi, ka tūtohu pea tō tākuta i tētahi, i ētahi rānei o ngā whakamātautau e whai ake nei:
- Ngā whakamātautau toto tairoi: Ka tirohia e ēnei ngā taumata o ngā homoni tairoi i roto i ō toto. Ahakoa he noa tonu ngā taumata o ngā homoni ahakoa he pona tōu, ka tohu pea ngā hua rerekē he hyperthyroidism, he hypothyroidism rānei.
- Te ine i te oro o te tairoi: Ka whakamahia e tēnei whakamātautau haumaru ngā ngaru oro hei hanga whakaahua taipitopito o tō tairoi. Ka āwhina i tō tākuta ki te whakatau mēnā he totoka, he wai rānei te pūnga (cystic), nā te mea he nui ake te mōrearea o te mate pukupuku i ngā pūnga totoka. Ka ine anō hoki i te rahi tika o te pūnga, ā, ka taea te ārahi i te koiora ngira-iti kia tika.
- Te koiora ngira pai: I tēnei tikanga tere, ka whakamahia e tō tākuta he ngira tino angiangi hei tango i tētahi tauira iti o ngā pūtau mai i te pona. Ka tirohia ēnei pūtau i raro i te karuārai i roto i te taiwhanga hei tirotiro mō te mate pukupuku. Mena kāore i te tino mārama ngā hua o te koiora, ka tūtohu pea tō tākuta kia tuaruatia te whakamātautau, kia pokanga rānei hei tango me te aromatawai i te pona.
- Matawai tango tairoiti: Mō tēnei whakamātautau, ka horomia e koe tētahi iti noa iho o te iodine irirangi , kāore he kino. Kātahi ka aroturukihia e tētahi kāmera motuhake te nui o te iodine ka mimitihia e tō tairoiti me te pona. Mā tēnei ka whakaratohia he taipitopito mahi whai hua hei āwhina i tō tākuta ki te aromatawai i te mōrearea o te mate pukupuku me te whakatau i te huarahi pai rawa atu.
He aha ngā kōwhiringa maimoatanga mō ngā pona tairoi?
Ko te mahere maimoatanga e whakawhirinaki ana ki te momo me te take o tō pona tairoi. Anei ngā kōwhiringa matua:
- Te tirotiro kaha ("Mataara me te Tatari"): Mena ka whakaatuhia e tō koiora he pai te nodule, me mahi tahi kōrua ko tō tākutatērā pea ka whakaae kāore e hiahiatia he maimoatanga tonu. Engari, me tirotiro tonu koe me te whakamahi i ngā taputapu ultrasound hei aroturuki i te pona mō ngā huringa o te rahi, o te āhua rānei.
- Te iodine radioactive: He maha ngā wā ka whakamahia e ngā tākuta te iodine radioactive hei rongoā i ngā pona e mahi nui ana, i ngā goiter multinodular rānei. I te mimitinga o te iodine e tō kiko tairoi, ka mimiti ngā pona, ā, ka hoki anō te hanga homoni ki te āhua noa.
- Pokanga (Taerotoroto): Mena he mate pukupuku te pona, he tino whakapaetia, he nui rawa rānei, ā, ka whakararuraru i tō manawa, i tō horomitanga rānei, ko te tango pokanga te maimoatanga paerewa koura.
Ka taea e koe te ārai i ngā pona tairoi?
Nā te mea kāore anō kia mōhiotia ngā tino pūtake o te nuinga o ngā pona tairoi, kāore e taea te ārai i ēnei.
Heoi anō, ka taea e koe te mahi i ngā mahi hei whakahaere i ētahi āhuatanga mōrearea. Mena kei te noho koe me te momona , mahi tahi me tō tākuta kia mau tonu tō taumaha hauora. Mena he kaipaipa koe, mā te mahi i ngā mahi hei whakamutu i te kaipaipa ka pai ake tō hauora tairoi whānui. Waihoki, kia tino whiwhi koe i te iodine kai e tika ana ; ko te whakamahi i te tote tepu iodine he nui hei whakatutuki i ō hiahia o ia rā.
He mea whakamere, e kī ana ētahi rangahau haumanu ko te tango i ngā ārai hapūtanga ā-waha , i ngā statin whakaheke cholesterol rānei, tera pea e hono ana ki te whakaiti i te mōrearea o te whakawhanake i ngā pona tairoi.
He aha te Tirohanga Mō Te Wā Roa (Matapae)?
He tino pai te matapae mō ngā pona tairoi pai . Ko te nuinga o ēnei kāore e hiahiatia he maimoatanga kaha, kāore hoki e puta he raruraru. Inaa, tata ki te 1% noa iho o ngā pona pai ka puta he ngoikore o te tairoi , ā, he tino ngāwari te rongoā i ēnei.
Mena he kino te pona, ko te tirohanga roa mō te wā roa e whakawhirinaki ana ki ētahi āhuatanga nui, tae atu ki:
- Te momo motuhake o te mate pukupuku tairoi .
- Tō tau i te wā i tātaritatia ai tō mate .
- Te rahi whānui o te pukupuku .
- Mena kua horapa te mate pukupuku ki ngā kiko tata, ki ngā kōpū lymph rānei.
- Ahakoa kua horapa ki ngā wāhanga tawhiti o te tinana.
Mena ka tāpaetia kei te mate pukupuku tairoi koe, ka taea e tō tākuta te whakarato i tētahi matapae whaiaro me te tika i runga i tō āhua hauora ahurei.
Ka taea e ngā tamariki te pāngia e ngā pona tairoi?
He iti ake te kitea o ngā pona tairoi i roto i ngā tamariki ki ngā pakeke, ahakoa kei te rangahauhia tonutia ngā reiti auau.
He mea nui kia mōhiotia, ina kitea ngā pona i roto i ngā tamariki me ngā taiohi , he nui ake te tūponotanga kia kino atu i ērā e kitea ana i roto i ngā pakeke. Ahakoa rā, neke atu i te 75% o ngā pona tairoi tamariki he tino pai .
He rite tonu ngā tohu, ngā tukanga tātaritanga, me ngā mahere maimoatanga mō ngā tamariki ki ērā mō ngā pakeke.
Tō Karere Kawe-ā-Kāinga
He tino noa ngā pona tairoi, ā, ko te nuinga o ēnei e kore rawa e whakararuraru i tō oranga. Heoi, ki te kitea e koe he pona hou i mua o tō kaki, me toro atu ki tō tākuta . Ahakoa he pai te nuinga o ngā pona, ko te aromatawai ngaio anake te huarahi hei whakakore i te mate pukupuku me te whiwhi i te rangimarie o te hinengaro.
Mena kua kitea kētia he pona kei a koe, ā, kua tūtohu mai tō tākuta kia "mātakitaki, tatari", kaua e mahue ō wā tirotiro . He mea nui ngā tirotiro auau kia kore ai te pona e huri haere i roto i te wā.
Mena he āwangawanga āu mō te tūponotanga o te mate pukupuku tairoi, me ētahi atu mate tairoi rānei, tēnā kōrero tuwhera ki tō rōpū hauora. I Nirogi Lanka , e whakapono ana mātou ko te mārama ki tō tinana te taahiraa tuatahi ki te noho hauora. Kaua e tukua te wehi kia aukati i a koe - kia mōhio tonu, kia whakahaere hoki i tō hauora i tēnei rā!
